Please complete the following form and provide any potential conflicts of interest (or the lack thereof) with regards to your webinar presentation, in accordance with the IIRRM's Policy and Procedures for Full Disclosure and Identification and Resolution of Conflicts of Interest. The disclosure must be made to the audience indicating whether you have or have not had relationships with for‐profit or not‐for‐profit organizations within the past 2 years. All disclosures should be stated at the beginning of your presentation to the audience, and included in the second slide of your presentation. Examples of a non-disclosure slide are available for download at the bottom of this webpage if you haven't prepared one before.
Speakers/faculty must also disclose to learners when an unlabeled or investigational use of a commercial product, drug, or device, not yet approved for any purpose, is being discussed during an educational activity, or if their talk will contain any off-label uses of an approved device, product, or drug for unapproved usage. If your content contains this information please complete the section that relates to investigational and off-label uses on the Disclosure Form below.
IIRRM encourages the exchange of views in scientific and educational discussions, including discussions of unapproved uses. Under the requirements with ACCME as well as best practices for CME, we just ask faculty to inform the audience that such a discussion is taking place.
Finally, as required by the ACCME, when discussing biopharmaceutical products and medical devices, your educational materials must give a balanced view of therapeutic options. You must make every effort to use generic names or descriptions, both verbally and in print. Your material may include trade names (if absolutely necessary to avoid confusion for the learner), but if they are used, those of all similar products must be mentioned rather than that of only a single company. Trade names should be used only at first mention.
If you have any questions or concerns about any of the above or this form please don't hesitate to reach out to Kathleen at firstname.lastname@example.org.
IIRRM is a registered provider of continuing medical education (CME) through the American Academy of Family Physicians (AAFP) and the EACCME (European Accreditation Council for Continuing Medical Education) and ensures education we provide meets all requirements of the Standards and Guidelines set out by the ACCME Standards for Commercial Support.
Additional Speaker Resources:
- Information on creating learning objectives, along with example objectives can be downloaded here.
- Example disclosure slide for declaring conflicts of interest can be downloaded here. If you have nothing to disclose, another example slide can be downloaded here.
- Example Journal Club Slides are available for download here.